The Intern At Work: Internal Medicine

Send us Fan Mail After almost 10 years of running The Intern at Work, the founding members and executive team are ready to hand over the podcast to a new producing team featuring Drs. Valerie Kim, Maya Stein and Annie Wu. Tune in to listen to how The Intern at Work started, and the future directions it might take.  Support the show

Send us Fan Mail This week we have a physiology heavy hitter - we review cardiac hemodynamics and how to translate those principles into the use and application of PA catheters.  Written by: Dr. Paul Mundra (Internal Medicine Resident)  Reviewed by: Dr. Craig Ainsworth (Cardio-Intensivist) & Dr. Hugh Traquair (General Internist)  Don't forget to use code FIGSCA for 20% off your first purc...

Send us Fan Mail In this episode, our host Dr. Arjun Pandey (Internal Medicine Resident) interviews special guest Dr. Stefan Jevtic (Hematology Fellow) on hematologic conditions in pregnancy. They discuss the clinical presentation, investigations and management of thrombocytopenia, anemia, VTE and other hematologic conditions in pregnancy. Be sure to tune into www.cbcmadeeasy.com to reinforce your...

Send us Fan Mail Learn all about an approach to gastric cancer for the internist!  Episode written by Dr. Gurjit Mander (Internal Medicine) Reviewed by by Dr. Arjun Kundra (Gastroenterology) and Dr. Genevieve Chick (General Internal Medicine) Infographic by Dr. Gurjit Mander Support the show

Send us Fan Mail This week we take you through a common and challenging symptomatology experienced by patients who have dementia - behavioural and psychosocial symptoms in dementia, or BPSD.  Written by: Dr. Rafique Van Umm (Internal Medicine Resident)  Reviewed by: Dr. Tricia Woo (Geriatrician) & Dr. Marianne Talman (General Internist)  Support the show

Send us Fan Mail In this episode, we discuss the pathophysiology, clinical features and diagnostic approach to Adult Onset Still's Disease. Our medicine minute discusses the Yamaguchi Criteria for diagnosis of Adult Onset Still's Disease. Written by: Dr. Samira Adus (Internal Medicine Resident) Reviewed by: Dr. Kimberly Legault (Rheumatology) and Dr. John Neary (General Internal Medicine...

Send us Fan Mail In this episode, Dr. Matthew Fuda (Internal Medicine Resident) discusses the 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary with Dr. Karen Konieczny (Cardiologist, Electrophysiologist). Host: Dr. Matthew Fuda Special Guest: Dr. Karen Konieczny (Cardiologist, Electrophysiologist) Producers: Dr...

Send us Fan Mail Dr. Laiya Carayannopoulos & Dr. Mike Fralick connect to bring you another crossover episode, this time covering new studies on therapies for bronchiectasis and posterior circulation stroke. Take a listen and let us know what you think!  Support the show

Send us Fan Mail Why do our patients need pacemakers and what should you know about them? Written by Dr. Alyssa Chow (Internal Medicine Resident) and reviewed by Dr. Steve Montague (General Internal Medicine) and Dr. Aws Almufleh (Cardiology). Infographic Alyssa Chow and Sapirya Birk (Medical Student).  Support the show

Send us Fan Mail Today we dive into the life-saving (and often intimidating!) technology known as ECMO.  Written by: Dr. Pavan Malhi (Internal Medicine Resident) Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist) Support the show

Send us Fan Mail Today we're introducing a new format—the first episode in our Clinical Practice Guidelines series. This week, Drs. Mike and John Fralick discuss the 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome. Here we go!  Support the show

Send us Fan Mail Episode 112 - Top Papers from the 2025 American College of Cardiology (ACC) Session Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss top papers from the 2025 American College of Cardiology (ACC) Annual Scientific Session. Hot off the presses, here we go! Extended Reduced-Dose Apixaban for Cancer...

Send us Fan Mail There's more to falls than meets the eye! Learn all about an approach to this extremely common problem in our older adult population.  Episode written by Dr. Annabel Chan (Internal Medicine Resident) and reviewed by Dr. Sudeep Gill (Geriatric Medicine) and Dr. Marie Leung (General Internal Medicine). Infographic by Julia Simone (Medical Student). Support the show

Send us Fan Mail In this episode, we review the macrovascular and microvascular complications of longstanding diabetes. Our medicine minute discusses the ADVANCE trial published in 2008 and the DAPA-CKD trial published in 2020. Written by: Dr. Nour Marafie,  Internal Medicine Resident Reviewed by:  Dr. Melissa-Rosina Pasqua, endocrinologist and Dr. Jennifer Wright, general internal medicine Suppor...

Send us Fan Mail For patients w/ myocardial infarction & anemia, at what hemoglobin should you transfuse? Tune into Rounds Table where Dr. Mike Fralick interviews Dr. Jeffrey Carson to discuss his individual patient data meta-analysis published in NEJM Evidence.  Support the show

Send us Fan Mail In this episode, we review the pathophysiology, symptompatology and treatment options for individuals with chronic pain. In addition, we review how to take a pain history to help differentiate between different types of pain. Our medicine minute discusses the SPACE trial.  Written by: Dr. Lakindu Somaweera (Internal Medicine Resident) Reviewed by: Dr. Hasitha Welihinda (Palliative...

Send us Fan Mail In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Host: Dr. Catherine Leurer (Geriatrics Fellow) Sound editing by:  Krzystof Kowalik Support the show

Send us Fan Mail In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the  CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report Host: Dr. Sheliza Halani Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University of Toronto Sound Editing: Aliso...

Send us Fan Mail In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident) Special Guest: Dr. Kevin Singh (General Internist) Sound Editing by: Dr. Alison Lai (General Inte...

Send us Fan Mail In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension. Host: Dr. Sheliza Halani Sound Editing: Dr. Alison Lai Producers: Dr. Catherine Leurer and Dr. Sheliza Halani Support the show

Send us Fan Mail This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration, discuss two recent papers exploring oxygenation in acute respiratory failure and the use of ablation versus anti-arrhythmic medication for ventricular tachycardia. Two papers, here we go! High-Flow Nasal Oxygen vs Noninvasive Ventilation in...

Send us Fan Mail Dr. John Fralick sits down with Dr. Nicole Hawe, a first-year Internal Medicine resident at the University of British Columbia, to discuss her third place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024. Support the show

Send us Fan Mail Dr. Laiya Carayannopoulos sits down with Nick Sanchez (MD student) to discuss his second place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting. He takes us through a fantastic case of upper GI bleeding!  Support the show

Send us Fan Mail Dr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024. They discuss a curious case of hyperglycaemia and jitters!  Support the show

Send us Fan Mail Happy Holidays Rounds Table Listeners! For our penultimate episode of 2024, we are back with a special treat! This week, Drs. Mike and John Fralick chat about the top five RCTs published over the past year: Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (0:00 – 3:40). Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (3:40 – 9:00)...